HCPCS code J9361 — Inj, efbemalenograstim alfa-. Status: Active. Effective Jul 1, 2024. Source: CMS HCPCS Level II.

J9361

Active

Inj, efbemalenograstim alfa-

Injection, efbemalenograstim alfa-vuxw, 0.5 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2024
Code type: alphanumeric
OPPS Status: E2 — Items / services not covered by Medicare statute

MUE — Medically Unlikely Edits

Maximum units of J9361 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 40
Outpatient Hospital 40
Practitioner Services 40

Source: CMS Medicare NCCI Medically Unlikely Edits

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2024-Q3
    Inj, efbemalenograstim alfa-